儿科支气管镜术的指示,有效性和并发症:在三级中心的一项回顾性研究
Sinan Yavuz1, Amal Sherif2, Safiya Saif1
1Pediatrics/Pediatric Pulmonology, Al Qassimi Woman's and Children's Hospital, Sharjah, ARE.
Cureus
|July 26, 2023
概括
儿科支气管镜是一种安全有效的工具,用于诊断和治疗儿童的呼吸系统疾病. 这项研究强调了阿联第三级医院的迹象,结果和并发症.
科学领域:
- 儿科肺病学 儿科肺病学
- 干预性肺病学 干预性肺病学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 支气管镜检查是儿童呼吸系统疾病管理的关键手术.
- 本研究回顾了阿联阿尔卡西米妇女和儿童医院 (AQWCH) 的指示,禁忌和结果.
- 其目的是优化儿科支气管镜服务.
研究的目的:
- 为了评估经过支气管镜检查的患者的特征.
- 分析程序的诊断和治疗指示.
- 在AQWCH评估儿科支气管镜术的并发症和结果.
主要方法:
- 从2018年1月到2019年12月,对儿科患者 (0-13岁) 的回顾性图表审查.
- 通过计算机搜索"儿科支气管镜检查,柔性,刚性,支气管支气管洗"收集的数据.
- 评估患者的人口统计,适应症,支气管支气管洗 (BAL) 分析和并发症.
主要成果:
- 进行了72次儿科支气管镜检查,51%用于诊断,49%用于诊断/治疗.
- 咳 (74%) 和胸部衰退 (64%) 是最常见的症状/迹象.
- 异物吸收 (32%) 是主要的征兆;异物 (25%) 和气管 (17%) 是常见的发现.
- 诊断证实在89%;管理改变在54%.
- 脱 (26%) 是主要的手术并发症;手术后咳 (14%).
- 在进行BAL的75%情况下,BAL培养物呈阳性.
结论:
- 支气管镜检查对于儿童呼吸道疾病的评估,诊断和治疗至关重要.
- 该程序通常是安全的,但需要小心选择患者.
- 这些发现支持优化儿科支气管镜检查的指示和管理方案.
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